Accounts Receivable Representative
Sutter Health - Sacramento, CA

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On any given day, Sutter Care at Home touches the lives of thousands of individuals by bringing health care directly to patients where they live - at home.

From local, community-based offices throughout Northern California, the dedicated staff at Sutter Care at Home cares for more than 50,000 patients each year and serves an average daily census of over 18,000 patients.

We provide the most comprehensive range of home care services including skilled nursing, rehabilitation therapy, home infusion therapy, hospice and palliative care, medical social work, home medical equipment and respiratory therapy, home attendant and care management, and community flu and wellness programs.

Through competitive wages and benefits, flexible schedules, innovative care models, new technologies, and tuition reimbursement - Sutter Care at Home strives to be your "employer of choice."

Sutter Care at Home is the home health care and hospice affiliate of Sutter Health, one of the nation's largest not-for-profit health care systems.

The A/R Representative submits accurate claims to government and non-government carriers and various third party payors according to applicable rules, regulations, and existing contracts. The incumbent ensures the appropriate coding structure to maximize reimbursement. Acts as a resource person and liaison between patient, third party payers and agency regarding questions and concerns relating to billing. The incumbent performs a variety of collection, patient account follow-up and patient account maintenance functions in order to maximize cash flow and acts as a resource person and liaison to patients regarding questions related to billing. The AR Representative maintains Consolidated DSO at 45 days.

Qualifications

Education:
Graduation from high school or the equivalent in education and experience is preferred.

Experience:
Previous seasoned patient accounting or claims processing experience is required. Previous billing and/or collection experience preferably in a physician’s office, hospital, or billing company is required. Computer experience from a user’s perspective is required.

Knowledge:
Must be familiar with HCPC, Rev Codes and ICD9 coding. Basic bookkeeping principles, general business procedures, knowledge of collection and billing rules and regulations are required. Medical terminology is desired. Knowledge of HMO, PPO, capitated, Medicare and Medi-Cal billing guidelines and regulations, including but not limited to filing limits on submissions and appeals, is required. Understanding of Hospice, Home Health and DME regulations is strongly desired. Knowledge of various billing computer systems, on-line eligibility and claims review and Medicare DDE is strongly desired.

Special Skills/Equipment:
Typing at 40 wpm, the ability to use 10 key adding machine by touch, CRT and various office machines are also required. The incumbent must have exceptional written and verbal communication skills, well organized and detail oriented. Incumbent must also be analytical, a self-motivator, and be able to multitask. Must be able to multi task.

Primary Location

:

California-Greater Sacramento Area-Roseville

Organization

:

Sutter Care at Home

Employee Status

:

Regular

Accepted Applications

:

All Candidate Applications Accepted

Benefits

:

Yes

Position Status

:

Non-Exempt

Union

:

No

Job Shift

:

Day

Shift Hours

-

8 Hour Shift

Days of the Week Scheduled

:

Monday-Friday

Shift Start Time

:

7:30 am

Shift End Time

:

4:00 pm

Schedule

:

Full Time

Hours Per 2wk Pay Period

:

80

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